The Predictive Value of Biomarkers in Aortic Dissection
The review article by Abanob G. Hanna, published in the Journal of Cardiothoracic Surgery, delves into the prognostic value of various preoperative biomarkers in patients undergoing surgical repair of the thoracic and abdominal aorta. The study aims to improve the process of selecting surgical candidates by identifying reliable biomarkers that can accurately predict surgical outcomes….
Read
Microvascular Dysfunction Following Cardioplegic Arrest and Cardiopulmonary Bypass: The Role of Diabetes and Hypertension
This newsletter offers a comprehensive summary of a detailed review article: “Microvascular Dysfunction Following Cardioplegic Arrest and Cardiopulmonary Bypass: Impacts of Diabetes and Hypertension,” authored by Meghamsh Kanuparthy et al., published in the Biomedicines (MDPI), which investigates the severe impacts of diabetes and hypertension on microvascular dysfunction following cardioplegic arrest and cardiopulmonary bypass (CP/CPB) in…
Read
Outcomes in VA-ECMO: Insights from ICU Scoring System Analysis
The study “Comparison of Four Intensive Care Scores in Prediction of Outcome after Veno-Arterial ECMO: A Single-Center Retrospective Study,” led by Suraj Sudarsanan and colleagues, was published in the Journal of Cardiothoracic and Vascular Anesthesia. This research evaluated the effectiveness of four scoring systems, APACHE-II, SOFA, CASUS, and SAVE, in predicting mortality among patients undergoing…
Read
The Role of Thoracoabdominal Normothermic Regional Perfusion in Enhancing DCD Transplants
The article: “Thoracoabdominal Normothermic Regional Perfusion It Is Not All About the Heart” by Gabriel C. Oniscu discusses the advancements and ongoing debates surrounding thoracoabdominal normothermic regional perfusion (TA-NRP) in the context of donation after circulatory death (DCD). The article highlights how TA-NRP and the alternative technique of direct procurement have significantly improved the utilization…
Read
Evaluating Cannula Performance in Pediatric ECMO: Pulsatile vs. Non-Pulsatile Flow Insights
In their study published in Artificial Organs: “Evaluation of extracorporeal membrane oxygenator cannulae in pulsatile and non-pulsatile pediatric mock circuits,” Lorenzo Ferrari and colleagues evaluated the hemodynamic performance of arterial and venous cannulae in a simulated pediatric extracorporeal membrane oxygenation (ECMO) circuit, comparing pulsatile and non-pulsatile flow conditions to determine which approach more accurately replicates…
Read
Decoding Hyperlactatemia: The Role of PvCO2 × Ve /Q in Cardiopulmonary Bypass Outcomes
The article “Relation Between Multiplication of Venous Carbon Dioxide Partial Pressure (PvCO2) and the Ratio of Gas Flow to Pump Flow (Ve/Q) with Hyperlactatemia During Cardiopulmonary Bypass” by Kowara Yos et al., published in the Annals of Cardiac Anaesthesia, delves into the significance of the PvCO2 × Ve/Q value in predicting hyperlactatemia during cardiopulmonary bypass…
Read
Actual Cost of E-CPR in Australia
A recent study conducted in Australia applied time-driven activity-based costing (TDABC) to determine the actual cost of extracorporeal cardiopulmonary resuscitation (E-CPR). The analysis revealed that the average cost per care cycle was approximately $75,014. This comprehensive estimate included all significant components of care delivery, with intensive care unit (ICU) management emerging as the most critical…
Read
Pancreas Transplant Opportunities: The Promise of DCD Donors Explored in New Systematic Review
The newsletter discusses a systematic review article titled “Donor after circulatory death in pancreas transplantation: a scoping review of the literature,” published in Frontiers in Transplantation. This review critically addresses the utilization of donors after circulatory death (DCD) as a viable strategy to alleviate the widening gap between the high demand for pancreas transplants and…
Read
Sepsis-ECMO Score: A New Tool for Enhancing ECMO Support Outcomes in Sepsis Patients
The newsletter about the recent article from the ASAIO Journal titled “Sepsis-Extracorporeal Membrane Oxygenation Score in Patients Receiving Extracorporeal Membrane Oxygenation Support for Sepsis” by Fu Hongfu et al. provides a detailed overview of an innovative study that marks a significant advancement in the treatment of sepsis in adult patients requiring extracorporeal membrane oxygenation (ECMO)…
Read
Monitored Anesthesia Care: A Promising Alternative for Safer, Faster Recovery in Cardiac Surgery with Cardiopulmonary Bypass (CPB)
A recent study published in the European Journal of Medical Research by Wen-Ting Chen et al. investigates the potential benefits of monitored anesthesia care (MAC) over intubated general anesthesia (IGA) for patients undergoing elective cardiac surgeries involving cardiopulmonary bypass (CPB). Conducted from April 2012 to February 2017, this prospective observational study included 24 patients, 11…
Read
Daylight Transplants: Organ Transplant Procedures through a Provincial Quality Improvement Initiative
The article “Transitioning from night to day transplants: changing the transplant culture for optimisation through a province-wide quality improvement initiative” by Lucas Streith et al., published in BMJ Open Quality, elaborates on a significant quality improvement initiative aimed at shifting organ transplants from overnight to daytime hours. Historically, these complex surgeries have been conducted at…
Read
Renal Transplant Perfusion through Strategic Patient Positioning
In the recent article published in Ultrasound, titled “Ultrasound assessment of the effect of patient position and body shape on peri-operative renal transplant cortical resistive indices and perfusion,” Linda Thebridge and her colleagues focus on how patient positioning and body shape impact renal transplant perfusion during the peri-operative period. The research involved 123 consecutive adult…
Read